Individual
RODERICK D COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11750 SW 40TH ST., MIAMI, FL 33175
(305) 921-0961
Mailing address
1613 N HARRISON PKWY, SUITE 200 MAILSTOP SLT 9A, SUNRISE, FL 33323-2896
(954) 838-2371
(954) 616-3866
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME123099
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2012
Last updated
11/01/2018
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